A nurse is reviewing medications with a client with asthma. The client has been prescribed an intranasal corticosteroid but cannot remember the name of the medication. Which medications does the nurse know as intranasal corticosteroids?(Select all that apply.)

1. Fluticasone (FlonaseAllergy Relief)
2. Budesonide (Rhinocort Allergy Spray)
3. Diphenhydramine (Benadryl)
4. Oxymetazoline (Afrin)
5. Triamcinolone (Nasacort)


1, 2, 5

Rationale 1: Three drugs in the intranasal corticosteroidclass are available OTC: fluticasone, budesonide, and triamcinolone.
Rationale 2: Three drugs in the intranasal corticosteroidclass are available OTC: fluticasone, budesonide, and triamcinolone.
Rationale 3: Diphenhydramine (Benadryl) is an antihistamine.
Rationale 4: Oxymetazoline (Afrin) is a decongestant.
Rationale 5: Three drugs in the intranasal corticosteroidclass are available OTC: fluticasone, budesonide, and triamcinolone.

Global Rationale: Intranasal corticosteroids, when used consistently, decrease secretion of inflammatory mediators, reduce tissue edema, and cause mild vasoconstriction. There are three drugs in the intranasal corticosteroidclass: fluticasone, budesonide, and triamcinolone.

Nursing

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